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YOUR POLICY FUND STATEMENT

Mr. Aditya Jain

B 29 Dlf Colony Near Sirhind 21960244 ADITYA JAIN 19-Feb-2018 Yearly
Road
.. YOUR INSURANCE COVER IS
Patiala - 147001
Punjab 0

21960244 100000 1547.03 98452.97 0.00 4746.83 21.23 100752.86

LDIS 0.00 0.00 4746.82 21.23 100752.86

100752.86

*Other charges is inclusive of applicable taxes and cess (if any), Switch charge, Premium allocation charges Policy Administrations
charge etc.
 31-Mar-2022 Opening Balance 0.00 36.04 0.00

19-Feb-2018 Allocated Premium 1820.72 25.82 47000.00

06-May-2019 Policy Discontinuation -1733.79 25.25 -43773.54

08-Dec-2022 Closing Balance 0.00 37.37 0.00

31-Mar-2022 Opening Balance 4746.83 20.73 98376.11

06-May-2019 Policy Discontinuation 4746.83 18.18 86288.32

08-Dec-2022 Closing Balance 4746.83 21.23 100752.85

31-Mar-2022 Opening Balance 0.00 35.57 0.00

19-Feb-2018 Allocated Premium 2000.48 23.50 47000.00

06-May-2019 Policy Discontinuation -1904.97 24.57 -46789.35

08-Dec-2022 Closing Balance 0.00 38.99 0.00

21960244
Fund Name: MCGrowth F SFIN: ULIF 085 24/11/09 LMCapGro 105
Fund Name: LDIS SFIN: ULIF 100 01/07/10 LDiscont 105
Fund Name: Maximiser SFIN: ULIF 114 15/03/11 LMaximis5 105

Unique Identification Number specified by Insurance Regulatory Development Authority of India for ICICI Pru Life Time Classic is 105L155V01.
 Fund units of your policy in a particular fund as on
the date mentioned.
Premium paid less Premium Allocation charge that
is utilized to purchase units under the Policy.
Moving monies into the fund
mentioned.
Moving monies out of the fund
mentioned.
Fund value of your policy or amount in a particular
fund as on the date mentioned.
is a charge levied at the time of receipt of
Premium. The balance is utilized to purchase units under the Policy.
is inclusive of applicable taxes and cess (if any), Switch
charge, Premium allocation charges, Policy Administrations charge etc.
is a charge levied towards the riders chosen (if any); at
the beginning of each policy month from the policy fund by cancellation
of units of the equivalent amount.
The most important benefit of your policy is the life
insurance cover that it provides. Mortality charge refers to the charge
that you pay for this benefit.
is a charge levied towards the
administration of the policy at the beginning of each policy month from
the policy fund by cancellation of units of the equivalent amount.
will be applicable as per the policy terms
and conditions and will be adjusted from the NAV on a daily basis. This
charge will be a percentage of the Fund Value.
is a charge levied towards the riders chosen (if any); at
the beginning of each policy month from the policy fund by cancellation
of units of the equivalent amount.
is a flat charge levied on switching of monies from one
fund to another available within the product. The charge will be levied at
the time of effecting the switch.
For Unit linked insurance plans, Goods &
Services Tax and cess (if any) of 18% is applicable on charges like fund
management, switch charges, etc.

In ULIP policies, the investment risk in the investment portfolio is borne
by the policyholder. The past performance of the Investment Funds is
not indicative of their future performance. The names of the Investment
Funds or of the Policy are not indicative of the returns that may be
expected of them.
Please note customers availing ECS mode of payment can request to
modify ECS mandate 15 days before the premium due date.
As stipulated by IRDAI, the formula for computation of the Net Asset
Value per Unit (NAV) for linked funds stands modified effective August
18, 2011: Market value of the investment held by the fund plus value of
current assets less value of current liabilities and provisions, if any and
divided by the number of units existing on the valuation date.
For complete details on applicability of NAV on ULIPs as per the current
IRDAI guidelines, refer to policy terms & conditions.
In the event of discontinuance of payment of premium, part withdrawal
or surrender of the policy, etc, benefits payable will be in accordance
with the policy terms and conditions. The surrender value may be
different from the Fund Value as mentioned in this statement.
The Fund Value may change as per the Net Asset Value (NAV) declared
on a daily basis. The NAV is published in the local newspapers and can
also be accessed on our website www.iciciprulife.com
Goods and Services Tax Registration Number: For details of the Goods
and Services Tax registration number applicable in your state, refer
https://www.iciciprulife.com/gstin.html . Goods and Services Tax and
cess( if any) will be charged as per applicable rates and prevailing tax
laws..
The unit statement shall be read in conjunction with the terms and
conditions mentioned in the policy document.
This is an authenticated statement which does not require any
signature. In case of any discrepancies, please notify us immediately
through any of our contact points.
Please note that the Company reserves the right to obtain and update
PAN details with the assistance of financial institutions, credit rating
agencies or any other entities with which the company has tie-ups. The
company will intimate you where PAN details are updated.

ICICI Prudential Life Insurance Company Limited, Ground Floor & Upper Basement, Unit No. 1A & 2A, Raheja Tipco Plaza,
Rani Sati Marg, Malad (East), Mumbai- 400097. Maharashtra.
1089 Appasaheb Marathe Marg, Prabhadevi, Mumbai-400025. Reg No: 105. IRDAI Regn No. 105.
CIN:L66010MH2000PLC127837. Comp/doc/Nov/2015/703.
Call Center Timings: 10:00 a.m. to 7:00 p.m., Monday to Saturday, except National Holidays. *When calling our Customer
Service Helpline, please do not prefix "+" or "91" or "00" before the number. Customers outside India can call us on
+91-22-6193 0777. Charges as applicable.